| NPI | 1285469635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA DDS112357) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN29086) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2026-04-08 |